Can endometrial polyps heal by themselves?

Written by Wang Jing Hua

Obstetrics and Gynecology

Updated on January 20, 2025

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Some endometrial polyps are self-healing, so not all endometrial polyps require surgical treatment. This is often because endometrial polyps are related to recent endocrine states, and some can be managed with hormonal medications, while others may be expelled during a menstrual period. Therefore, if the endometrial polyp does not cause any symptoms, such as abnormal bleeding, impact on pregnancy, or is large enough to cause infertility, it is possible to observe regularly without immediate diagnostic curettage surgery.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 10sec

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ultrasonographic appearance of endometrial polyps

Under normal circumstances, the diagnosis of endometrial polyps is usually determined clearly by performing an ultrasound at the hospital. Normally, the endometrial line is continuous. There is a specific thickness to the endometrium. Typically, a thickness of 3-4mm in the endometrium at the end of menstruation is considered normal. During ovulation, the thickness of the endometrium is 8mm. Before menstruation starts, the endometrial thickness is generally more than 10mm. If it is within this range, it is generally considered normal. If there is an increase in endometrial thickness and the echo of the endometrium is not continuous, and the endometrial echo is uneven, in most cases, endometrial polyps are suspected. The diagnosis of endometrial polyps can generally be clearly determined through color Doppler ultrasound. This diagnosis is not difficult. Once endometrial polyps are clearly diagnosed by ultrasound, they can be removed by hysteroscopic polypectomy at the hospital.

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Written by Du Rui Xia

Obstetrics

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Can you get pregnant with endometrial polyps?

Endometrial polyps can affect pregnancy, but it does not mean that conception is impossible. Rather, it means that the chances of becoming pregnant may decrease. Endometrial polyps can affect the lining of the uterus and thereby hinder the implantation of a fertilized egg after the sperm and egg have combined. Even if fertilization and implantation occur in the uterus, miscarriage is more likely to happen. Therefore, when endometrial polyps occur, treatment can be administered based on the size and extent of the polyps. If the condition is mild with few and small polyps that do not affect pregnancy, conception is still possible.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 16sec

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Will uterine polyps cause bleeding during intercourse?

Endometrial polyps generally do not cause bleeding after sexual intercourse. However, bleeding after sexual intercourse can occur if there are polyps in the cervical canal. Clinically, endometrial polyps generally present with shorter menstrual cycles, occurring every 20-something days. The period duration is also typically longer; normally, a period lasts from three to seven days. In patients with endometrial polyps, the period can extend up to eight or nine days. Under such circumstances, endometrial polyps are generally suspected, and patients are often advised to visit a hospital for an ultrasound to examine the thickness of the endometrial lining and its echo characteristics, allowing for a definitive diagnosis of endometrial polyps. Endometrial polyps do not cause bleeding after sexual intercourse. Bleeding after intercourse is generally considered clinically if there are conditions such as cervical cancer, precancerous cervical conditions, cervical polyps, or other cervical alterations. Thus, if bleeding after intercourse occurs, it is crucial to undergo cervical cancer screening at a hospital.

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Written by Xu Xiao Ming

Obstetrics and Gynecology

41sec

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Symptoms of endometrial hyperplasia polyps

If endometrial hyperplasia and polyps are present, there may be an increase in menstrual flow and an extension of the menstrual cycle. This is because if many polyps grow on the endometrium, it will increase the surface area of the endometrium, leading to increased menstrual bleeding. Therefore, it is recommended that such patients should go to the hospital in time for examination and treatment. If there are many polyps affecting daily life and reproductive function, a hysteroscopic examination is necessary. Under hysteroscopy, endometrial polyps can also be removed. Therefore, it is advised to seek medical examination as soon as possible.

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Written by Sun Shan Shan

Obstetrics and Gynecology

58sec

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Causes of endometrial polyps

There are many causes of endometrial polyps. One is the excessive secretion of estrogen in the body, leading to an uneven distribution of hormone levels. Furthermore, long-term use of health products and hormone medications can stimulate their development, as can gynecological inflammations from events like abortion, childbirth, or surgical procedures, all of which can lead to the formation of endometrial polyps. Additionally, high blood pressure and obesity are also high-risk factors for endometrial polyps. Therefore, it’s crucial to carry out a timely hysteroscopic examination once endometrial polyps are detected. This examination should take place three to seven days after menstruation at a hospital. If the polyps are larger than one centimeter in diameter, or if there is continuous vaginal bleeding, an immediate hysteroscopic polypectomy is necessary.